Department of Defense
NPI #1588654990 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1588654990
- Entity Type
- Organization
- Organization Name
- Department of Defense
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Oct 26, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 14450 SMOKETOWN RD
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22192-4712
- Phone
- (703) 576-1397
Authorized Official
- Name
- MS. SHELIA REDMOND, MSW
- Title
- PROGRAM DIRECTOR
- Phone
- (703) 576-1403
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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